HomeMy WebLinkAbout1973-7-30 - 249 Griffin Road - Septic ApplicationWentworth Estates
R.J. Alexaxder, Ixe.
Zinn of 0�out4 lVinbsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $....... 20.,00.... By OwAP;r..t.Q..Bu.i1d.ittg...DC.pt..R....05..-.a0.-.7.3....................... Permit No. ....7.'S..'48
. ..................
Date x�...'...3..................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ....... or construction ......X of an individual sewage disposal system concerning which the following
information is submitted:)
F.
1. Owner of Property .:...:.'I'...... �.................:�!.�.. ...................... Address of Ow Gxiff ia� ..lead ............................._...
....
2. Location of Property .......Cara.e.r....o.�....Griffix...&.-Bra.akf.ield............::��................. I..................... Lot No. ........ 20..............
3. Type of Structure ................ ])W .el.l.ing................ .............. .............. ....._...-...--....................................................................... .......................... ...............................................
_
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ........... One .....0 )....f ib.y...............:......:..........................................._...............................
5. Number of Bedrooms ....'k1rMt....(5)............
6. Average Daily Flow .......... ....................................
Manufacturer and
te
7. Liquid Capacity of Septic Tank ..1..x000„.,gallons,,,..„ Material of Septic Tank outdo soY�r�..
8. Soil Conditions: Type of Soil..-......-................................................................................................................................................_...... w..w..::..w.....:...........� ..:.
(Sand, Gravel, Clay, etc.)
Maximumground water table.................................................................................................. ................ .................... ............ ...
9. If not served by public water supply: %4 C
Distance from Owner's well ..:Public water ovlv.
From adjacent wells .�................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .............................................
11. Percolation Tests: X' 3..25."/Mixt..........................................................................................................................
Classificationof soil......................................................................................................................................................................
12. Minimum square feet of effective seepage area required 1.2.5...! q..,,ft.,..pe ...l qor�.,,,,, ,i 1,.,..4..... 75,,,AEq...'r
13. Leaching System: Number of trenches ...................... ................... Length .J 7q.e .._............. Width.:::.....PT.................
Total......4FT..... Other........................................................................................................................................................................
14. Plot Plan Attached. ...... Ye.P........................................ .
15. Layout Approved . ...................
16. This permit expires . � eptember .73........:................:...:..::......:....:::... .
Signature.....Artr....Fixf:.........�k1...........................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
19. V. y
Pollution Problem abated Date ............. ........ ....... ......... .. r.'... .................. ......
Iffipector
yo ?
40/6 -7 2 S-
4.
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION LOT (�,1 O
OWNERQ
TYPE OF WORK
DATE a 7 PERMIT PIPE Q
INSTALLER (W 62UFF
INSPECTOR f S' DRAWN BY if S'
r,iL..„
'vI,'Av
DEPTF1 Jr 1,�
R
MON
^I
CFI IV?�.�
q �
G R r
1 29
S�
410N
Lli
o�
�06
8L jj100 G TA
o�
�0
cQ
'
S �'
�
o �D
hi h
0
50-0 E0LAJ
m
N 20.54
R A 15N
9 G
s.
o00
_ 0 00
3
N N
RAN
0
LOT 20
�
O
O
LOT 2/
136.15
LOT /9
0,(j, r0ooy, r,,
S� - f `' 'f •v ��r
�iSjewl
,'�1� t• ,-}mow.... : f R
' r P
� Nu. 9L14 ROPERTY OF �'+ !�
;��=-t�T,r ►-'� R. J. A L EX A ND ER I N C.
GRIFFIN RD. - SOUTH WINDSOR, CONN.
SCALE' / 40' MAY 29, /973
✓AMES E. SHEEHY LS 7034
I
ZgjnI TTG it&l TJ-7 rITC.,!'70-4
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR,CONN.06074
DEPARTMENT POLLUTION CONTROL
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date
The Sanitary Sewer ........Septic System ..........
at ................................................
or lot #...............has been installed and completed